Individual
JEREMY CHAD WENTZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
405 MEMORIAL DRIVE EXT, GREER, SC 29651-1817
(864) 877-9066
(864) 241-9214
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24599
SC
Other
Enumeration date
07/20/2021
Last updated
09/14/2021
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